[Hiring] Outpatient Coder Lead @Mountain Region Support

Role Description

As our Outpatient Coder Lead, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, ensuring complete charge capture, and providing expert guidance to coding and hospital staff.

• Direct Outpatient Coding Service Center operations including personnel management, training, education, productivity, work assignments, and quality reviews.
• Assist with coding education, audits, denials, claim edits, and CHA data submissions, promoting standardization and managing DNB and coding compliance to achieve financial goals.
• Drive accuracy, quality, and standardization across coding operations while effectively collaborating with Revenue Management and other departments.
• Demonstrate proficiency in coding and abstracting outpatient accounts in the electronic medical record system.
• Complete charge capture/review as applicable and create APC group assignments while adhering to coding guidelines, regulations, and compliance plan.
• Conduct and assist quality audit reviews in a timely manner and effectively communicate feedback to stakeholders.
• Answer coding questions in accordance with the Coding Compliance plan, Official Coding Guidelines, and regulatory billing guidelines.
• Assist Manager with managing DNB, coder productivity, and quality to ensure alignment and support of achieving corporate/service center and hospital financial goals.
• Facilitate and/or assist with coding training and education to promote accurate coding and reimbursement practices per coding guidelines, regulatory requirements, and the organization's coding compliance plan.
• Work with the outpatient coding team to improve the coding accuracy, integrity, and quality of patient data, to ensure minimal variation in coding practices.

Qualifications

• High School Diploma/G.E.D.
• Minimum of four (4) years of outpatient coding experience in an acute care setting.
• Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credential (COC, CIC, CPC-H, CPC).
• Demonstrate competency of outpatient and observation coding guidelines as well as other outpatient coding guidelines.
• Demonstrate advanced knowledge of Coding Clinic Guidelines, and advanced technical knowledge with coding competency in ICD-10 CM, CPT, HCPCS and Nosology.
• Advanced knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and coding systems (i.e. 3M).

Requirements

• Associate's Degree (Preferred).
• Charge capture experience (Preferred).